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A latent variable model of evidence-based quality improvement for substance abuse treatment

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Abstract

Attempts to improve the quality of substance abuse treatment are hampered by an inability to define specifically the elements of high quality of care and, more important, the lack of a research paradigm within which to study the necessary and sufficient elements of appropriate care. This study proposes that the quality-of-care (QOC) construct for substance abuse treatment might be best considered as a latent construct that does not necessarily exist as a single set of criteria but instead is indicated by a set of empirically derived indicators manifested as a latent factor. Results support defining latent QOC variables across levels of care for alcoholism treatment and empirically defining latent QOC measures from administrative records.

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References

  1. Stricker G, Troy WG, Shueman SA, eds.Handbook of Quality Management in Behavioral Health. New York: Kluwer Academic/Plenum Publishers; 2000.

    Google Scholar 

  2. Troy WG, Shueman, SA. The changing health services environment and its impact of quality management in behavioral health. In: Stricker G, Troy WG, Shueman SA, eds.Handbook of Quality Management in Behavioral Health. New York: Kluwer Academic/Plenum Publishers; 2000:3–13.

    Google Scholar 

  3. Zanis DA, McLellan AT. Ensuring quality in the treatment of chemical dependency. In: Stricker G, Troy WG, Shueman SA, eds.Handbook of Quality Management in Behavioral Health. New York: Kluwer Academic/Plenum Publishers; 2000:193–215.

    Google Scholar 

  4. Walker RD, Howard MO, Walker PS, et al. Practice guidelines in the addictions: recent developments.Journal of Substance Abuse Treatment. 1995;12:63–73.

    Google Scholar 

  5. American Society of Addiction Medicine.PPC-2: Patient Placement Criteria for the Treatment of Substance-Related Disorders. 2nd ed. Chevy Chase, MD: ASAM, Inc; 1996.

    Google Scholar 

  6. American Psychiatric Association.Practice Guidelines for the Treatment of Patients with Substance Use Disorders: Alcohol, Cocaine, Opioids. Washington, DC: APA; 1995.

    Google Scholar 

  7. Luft HS.Health Maintenance Organizations: Dimensions of Performance. New York: Wiley; 1981.

    Google Scholar 

  8. Dennis ML, Hristova L, Foss M.Special Runs on Illinois' Electronic DASA Automated Reporting and Tracking System (DARTS) Data Base on All Publicly Funded Treatment for 154,255 Patients Served (68,264 Unique Individuals) for Fiscal Year 1997 (7/96–6/97). Bloomington, IL: Chestnut Health Systems; 1999.

    Google Scholar 

  9. Callahan JJ, Shepard S, Beinecke RH, et al. Mental health/substance abuse treatment in managed care: the Massachusetts Medicaid experience.Health Affairs. 1995;14(3):173–184.

    Google Scholar 

  10. Dickey B, Norton EC, Normand ST, et al. Massachusetts Medicaid managed care health care reform: treatment for the psychiatrically disabled.Advances in Health Economics and Health Research. 1995;15:99–116.

    Google Scholar 

  11. Dickey B, Normand ST, Norton EC, et al. Managed care of schizophrenia: lessons from a 4-Year Massachusetts Medicaid study.Archives of General Psychiatry. 1996;53:945–952.

    Google Scholar 

  12. Meredith RL, Bair SL, Ford GR. Information management for clinical decision making. In: Stricker G, Troy WG, Shueman SA, eds.Handbook of Quality Management in Behavioral Health. New York: Kluwer Academic/Plenum Publishers; 2000:53–93.

    Google Scholar 

  13. National Institute on Drug Abuse.Principles of Drug Addiction Treatment: A Research-Based Guide. Rockville, MD: National Institute on Drug Abuse; 1999. DHHS publication (ADM)99-4180.

    Google Scholar 

  14. Kaiser HF, Rice J. Little jiffy mark IV.Educational and Psychological Measurement. 1974;34:111–117.

    Google Scholar 

  15. Cattell RB. The scree test for the number of factors.Multivariate Behavior Research. 1966;1:245–276.

    Google Scholar 

  16. Thurstone LL.Multiple-Factor Analysis. Chicago: University of Chicago Press; 1947.

    Google Scholar 

  17. Nurco D, Shaffer JW, Hanlon TE, et al. Relationships between client/counselor congruence and treatment outcome among narcotic addicts.Comprehensive Psychiatry. 1988;29:48–54.

    Google Scholar 

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Correspondence to Richard D. Lennox PhD.

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Lennox, R.D., Mansfield, A.J. A latent variable model of evidence-based quality improvement for substance abuse treatment. The Journal of Behavioral Health Services & Research 28, 164–176 (2001). https://doi.org/10.1007/BF02287459

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